Unusual presentation of the Conn's syndrome: a case report

A 26 -year- old woman presented with rhabdomyolysis secondary to severe hypokalemia. Hypertension and metabolic alkalosis could lead to the suspicion of primary aldosteronism, which was confirmed by a decreased plasma rennin, elevated plasma aldosterone levels and high aldosterone/rennin ratio additionally. Additionally adrenal computed tomography showed an adrenal tumour. Blood pressure and hypokalemia returned to the normal level after adrenaiectomy was performed. This case report highlights the need to be alert to the possibility of primary aldosteronism incidence in a patient presenting with rhabdomyolysis and hypertension caused by severe hypokalemia

Buried bumper syndrome

Percutaneous endoscopic gastrotomy is becoming a common and widely accepted procedure for its safety and efficiency. In this case report, we describe a complication, called buried bumper syndrome [BBS] which is becoming more frequent among patients, who have percutaneous endoscopic gastrostomy [PEG] tube inserted. BBS can be serious, even fatal in some cases. We report here, a 42-year-old lady with suprasellar meningioma who developed BBS, one and half year post-PEG-tube insertion. She started to have abdominal pain and distension, PEG tube blockage and eventually PEG site infection. The PEG tube could not be removed endoscopically and it was removed surgically instead because the PEG tube was buried beneath the gastric mucosa and in the abdominal wall